49/100
Below average
1637 29Th Ave Pl, Greeley, CO 80634
These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.
1 citation(s) involving actual harm or immediate jeopardy
Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.
$14,069 in federal fines
CMS has fined this facility across 1 penalty action(s).
Nursing staff turnover of 72%
High turnover means residents rarely see the same caregiver twice. The national average is about 50%.
Last inspection was more than 2 years ago
Ratings here are based on older survey data than at most facilities.
Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.
A full pentagon is full marks. The shape shows what kind of good or bad a home is — two homes can share a score and look nothing alike.
Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
Grade ceiling applied
Hours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Last standard health inspection: April 11, 2024 (2 years ago).
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
No actual harm, potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Immediate jeopardy to resident health or safety
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
No actual harm, potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
No actual harm, potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
No actual harm, potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
No actual harm, potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
No actual harm, potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
No actual harm, potential for more than minimal harm
Part of THE ENSIGN GROUP, which operates 346 homes. Staffing budgets are usually set at chain level, not in the building.
| Owner | Type | Role | Since |
|---|---|---|---|
| CONLEY, CALVIN | Individual | MANAGING CONTROL - GOVERNING BODY | — |
| FRASER, MALCOLM | Individual | MANAGING CONTROL - GOVERNING BODY | — |
| JORGENSEN, DAVID | Individual | CORPORATE DIRECTOR | — |
| BURNAM, SOON | Individual | CORPORATE OFFICER | — |
| GRAHAM, JOSEPH | Individual | CORPORATE OFFICER | — |
| KEETCH, CHAD | Individual | CORPORATE OFFICER | — |
| SATO, AMI | Individual | CORPORATE OFFICER | — |
| NURSA INC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — |
| ONSHIFT INC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — |
| CONLEY, CALVIN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| FRASER, MALCOLM | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| PORT, BARRY | Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE O... | — |
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Westlake Health And Rehabilitation Center holds an ElderGrade of D (49 out of 100), which we describe as "below average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.
Residents receive an average of 3.01 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
Yes. 1 of the 12 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.
Yes, Westlake Health And Rehabilitation Center is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.